The Board of Education will provide for the health and physical well-being of students by
establishing a districtwide coordinated student health services program. The district nursing staff
has oversight of the coordinated student health services program and will work with the School
Health Advisory Council (SHAC). The SHAC shall be composed of a school nurse, a counselor and
appropriate members of the community. Meetings, records and votes of the SHAC will adhere to
the requirements of the Missouri Sunshine Law.
Nurses employed to staff the health services program shall serve under the direction of the school
principal and, if necessary, under the supervision of qualified medical personnel. The nurse or
designee will be responsible for all notifications to parents/guardians regarding health services. The
services provided by the nursing staff will include:
1. Administration of laws that protect the health of children attending public schools in
a. Ensuring compliance with immunization requirements.
b. Excluding students who have contagious diseases from attendance when authorized
c. Reporting the presence or suspected presence of diseases mandated for reporting by
2. Emergency first aid treatment for injury or illness occurring during the school day.
3. The administration of medication, pursuant to Board policy, including training unlicensed
personnel in the administration of medications. A qualified member of the nursing staff is
responsible for developing procedures for the training of unlicensed personnel as well as
devising protocols for the administration of medications by unlicensed personnel. In
accordance with law, qualified employees will be held harmless and immune from civil
liability for administering medication, medical services or lifesaving methods in good faith
and according to standard medical practice. A qualified employee is one who has been
trained to administer medication according to standard medical practice.
4. Assistance in carrying out the district's responsibilities outlined in Section 504 plans,
Individualized Health Plans (IHPs) or Individualized Education Programs (IEPs).
5. Guidance and counseling concerning health problems of students.
6. Maintenance of student health records, including the maintenance of emergency information
forms for each student. The nurse will ensure that the school principal has access to all
student health records. The nurse will store health records in a secure location, and any
health information provided orally will be reduced to writing and stored appropriately.
District employees shall not share information regarding a student's health in front of other
students or staff members who do not have a need to know the information. Student records
will be stored and disclosed in accordance with Board policy.
7. Age-appropriate health education in the district's instructional program, in accordance with
Missouri School Improvement Program (MSIP) Standards and Missouri Grade-Level
Expectations (GLEs), including information about the prevention and control of
communicable diseases, the use of universal precautions, allergy prevention and response,
blood-borne pathogens, and handling of bodily fluids. The nurse will maintain information
developed by the Missouri Department of Health and Senior Services (DHSS) relating to
human papillomavirus (HPV) and may provide this information directly to parents/guardians,
but not to students.
8. Screening for health conditions in accordance with Board policy and administrative
9. Notification of the school principal if informed of a condition that could require
accommodation under federal law.
10. Maintenance of copies of the Material Safety Data Sheet (MSDS) for all pesticides used in
11. Development and annual review of a Health Services Plan.
12. Training staff as necessary to implement the district's health and safety program.
13. Such other services as assigned by the supervising principal or superintendent.
The district and its agents may not provide contraceptive devices or contraceptive drugs. Referral
to the family practitioner for such devices or drugs will only be in accordance with the parental
notification checklist requirements of state law.
Physical Examinations and Screenings
"Screening" is the use of a procedure to examine a large population to determine the presence of a
health condition or risk factor in order to identify those who need further evaluation. Screening tests
for various health conditions (such as vision, hearing and scoliosis) will be conducted in accordance
with administrative procedures. Students may also be weighed and measured. Parents/Guardians
will receive a written notice of any screening result that indicates a condition that might interfere
with a student's progress or health.
In general, the school district will not conduct physical examinations of a student without parental
consent to do so unless the health or safety of the student or others is in question or unless by court
Further, parents will be notified of the specific or approximate dates during the school year when any
nonemergency, invasive physical examination or screening administered by the district is conducted
1. Required as a condition of attendance.
2. Administered by the school and scheduled by the school in advance.
3. Not necessary to protect the immediate health and safety of the student or other students.
As used in this policy, the term "invasive physical examination" means any medical examination that
involves the exposure of private body parts or any act during such examination that includes incision,
insertion or injection into the body, but does not include a hearing, vision, head lice or scoliosis
Parents or eligible students will be given the opportunity to opt out of the above-described
nonemergency, invasive physical examination or screening.
Students who wish to participate in certain extracurricular activities may be required to submit to
a physical examination to verify their ability to participate in the activity. Students participating in
activities governed by the Missouri State High School Activities Association (MSHSAA) will be
required to follow the rules of that organization.
All parents will be notified at least at the beginning of the school year of the district's policy on
physical examinations and screening of students. Parents will also be notified within a reasonable
period of time after any substantive change in the policy.
* * * * * * *
Note: The reader is encouraged to check the index located at the beginning of this section
for other pertinent policies and to review administrative procedures and/or forms for
Revised: 06/08/2000; 11/11/2004; 07/13/2006; 07/14/2011
Cross Refs: EBB, Communicable Diseases
EBBA, Illness and Injury Response and Prevention
IGBC, Parent/Family Involvement in Instructional and Other Programs
Legal Refs: §§ 167.181 - .195, .611, .635, 170.015(2), RSMo.
Protection of Pupil Rights Amendment, 20 U.S.C. § 1232h(b)
Individuals with Disabilities Education Act, 20 U.S.C. §§ 1400 - 1417
34 C.F.R. Part 300
The Rehabilitation Act of 1973, Section 504, 29 U.S.C. § 794
Americans with Disabilities Act, 42 U.S.C. §§ 12101 - 12213
St. Charles R-VI School District, St. Charles, Missouri
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